Healthcare Provider Details

I. General information

NPI: 1003318601
Provider Name (Legal Business Name): HEATHER STRONG HARRISON PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER STRONG PH.D.

II. Dates (important events)

Enumeration Date: 02/28/2018
Last Update Date: 02/01/2024
Certification Date: 02/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE, ML3015
CINCINNATI OH
45229
US

IV. Provider business mailing address

3333 BURNET AVE ML 3015
CINCINNATI OH
45229
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-4336
  • Fax: 513-636-7756
Mailing address:
  • Phone: 513-636-4336
  • Fax: 513-636-7756

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberP.08395
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberP.08395
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: